ORIGINAL RESEARCH
Comparison of the Results of the Effect of Nasal Packing on Patient Comfort
Burun Tamponunun Hasta Konforuna Etkisi ile İlgili Sonuçların Karşılaştırılması
Received Date : 15 May 2020
Accepted Date : 07 Jul 2020
Available Online : 23 Dec 2020
Oğuzhan DİKİCİa, Osman DURGUTa, Fevzi SOLMAZa
aDepartment of Otorhinolaryngology, Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, TURKEY
Doi: 10.24179/kbbbbc.2020-76369 - Makale Dili: EN
KBB ve BBC Dergisi. 2020;28(3):282-8
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: This study aimed to evaluate the effects of
nasal packing on patient comfort and healing after nasal surgery. Material
and Methods: A total of the 97 patients who underwent septoplasty
and were included in this study, 35 had a 3-day silicone pack, 35
had a 7-day silicone pack, and 27 had a 3-day polyvinyl acetate nasal
pack. All the patients also completed the “Nasal Packing Survey” after
the packs were removed. Any haematoma, oedema, synechia, perforation,
crusting and early/late haemorrhage were recorded during the examination
1 week, 1 month and 3 months after the packs were removed.
Results: Crusting was more common in the polyvinyl acetate nasal packing
group than in the silicone packing group (p<0.05). The nasal packing
survey values of the silicone packing group were significantly
lower than those of the polyvinyl acetate nasal packing group (p<0.05).
Conclusion: Nasal silicone packs are suitable and comfortable for nasal
surgery and have low complication rates. The use of nasal silicone
packs for 3 or 7 days does not make a significant difference in terms of
patient comfort.
Keywords: Nasal surgery; nasal packing; silicone; patient comfort; polyvinyl acetate
ÖZET
Amaç: Bu çalışmada, burun ameliyatı sonrası uygulanan nazal
tamponların hasta konforu üzerine etkileri değerlendirildi. Gereç ve
Yöntemler: Septoplasti uygulanan ve bu çalışmaya dâhil edilen 97
hastanın 35'ine 3 gün silikon tampon, 35'ine 7 gün silikon tampon,
27'sine ise 3 gün polivinil asetat burun tamponu uygulandı. Hastaların
tamamı, burun tamponları çıkarıldıktan sonra “Burun Tamponu Anketi”
ni tamamladılar. Burun tamponlarının çıkarılmasından 1 hafta, 1 ay
ve 3 ay sonraki muayenelerde hematom, ödem, sineşi, perforasyon,
kabuklanma ve erken/geç kanama varlığı kaydedildi. Bulgular: Kabuklanma,
polivinil asetat burun tamponu grubunda silikon tampon
grubuna göre daha yaygındı (p<0,05). Silikon tampon grubunun burun
tamponu anket değerleri, polivinil asetat burun tamponu grubuna göre
anlamlı olarak daha düşüktü (p<0,05). Sonuç: Silikon burun
tamponları, nazal cerrahi için uygun, hasta için konforlu ve düşük komplikasyon
oranlarına sahiptir. Silikon burun tamponlarının 3 veya 7 gün
boyunca kullanılması, hasta konforu açısından önemli bir fark
yaratmamaktadır.
Anahtar Kelimeler: Burun cerrahisi; burun tamponu; silikon; hasta konforu; polivinil asetat
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